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<!-- BEGIN HEAD -->

<head>

    <meta charset="utf-8"/>

    <title>Metronic | Form Stuff - Form Wizard</title>

    <meta content="width=device-width, initial-scale=1.0" name="viewport"/>

    <meta content="" name="description"/>

    <meta content="" name="author"/>

    <!-- BEGIN GLOBAL MANDATORY STYLES -->

    <link href="media/css/bootstrap.min.css" rel="stylesheet" type="text/css"/>

    <link href="media/css/bootstrap-responsive.min.css" rel="stylesheet" type="text/css"/>

    <link href="media/css/font-awesome.min.css" rel="stylesheet" type="text/css"/>

    <link href="media/css/style-metro.css" rel="stylesheet" type="text/css"/>

    <link href="media/css/style.css" rel="stylesheet" type="text/css"/>

    <link href="media/css/style-responsive.css" rel="stylesheet" type="text/css"/>

    <link href="media/css/default.css" rel="stylesheet" type="text/css" id="style_color"/>

    <link href="media/css/uniform.default.css" rel="stylesheet" type="text/css"/>

    <!-- END GLOBAL MANDATORY STYLES -->

    <!-- BEGIN PAGE LEVEL STYLES -->

    <link rel="stylesheet" type="text/css" href="media/css/select2_metro.css"/>

    <link rel="stylesheet" type="text/css" href="media/css/chosen.css"/>

    <!-- END PAGE LEVEL STYLES -->

    <link rel="shortcut icon" href="media/image/favicon.ico"/>

</head>

<!-- END HEAD -->

<!-- BEGIN BODY -->

<body class="page-header-fixed">

<!-- BEGIN HEADER -->

<div class="header navbar navbar-inverse navbar-fixed-top">

    <!-- BEGIN TOP NAVIGATION BAR -->

    <div class="navbar-inner">

        <div class="container-fluid">

            <!-- BEGIN LOGO -->

            <a class="brand" href="index.html">

                <img src="media/image/logo.png" alt="logo"/>

            </a>

            <!-- END LOGO -->

            <!-- BEGIN RESPONSIVE MENU TOGGLER -->

            <a href="javascript:;" class="btn-navbar collapsed" data-toggle="collapse" data-target=".nav-collapse">

                <img src="media/image/menu-toggler.png" alt=""/>

            </a>

            <!-- END RESPONSIVE MENU TOGGLER -->

            <!-- BEGIN TOP NAVIGATION MENU -->

            <ul class="nav pull-right">

                <!-- BEGIN NOTIFICATION DROPDOWN -->

                <li class="dropdown" id="header_notification_bar">

                    <a href="#" class="dropdown-toggle" data-toggle="dropdown">

                        <i class="icon-warning-sign"></i>

                        <span class="badge">6</span>

                    </a>

                    <ul class="dropdown-menu extended notification">

                        <li>

                            <p>You have 14 new notifications</p>

                        </li>

                        <li>

                            <a href="#">

                                <span class="label label-success"><i class="icon-plus"></i></span>

                                New user registered.

                                <span class="time">Just now</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

                                <span class="label label-important"><i class="icon-bolt"></i></span>

                                Server #12 overloaded.

                                <span class="time">15 mins</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

                                <span class="label label-warning"><i class="icon-bell"></i></span>

                                Server #2 not respoding.

                                <span class="time">22 mins</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

                                <span class="label label-info"><i class="icon-bullhorn"></i></span>

                                Application error.

                                <span class="time">40 mins</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

                                <span class="label label-important"><i class="icon-bolt"></i></span>

                                Database overloaded 68%.

                                <span class="time">2 hrs</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

                                <span class="label label-important"><i class="icon-bolt"></i></span>

                                2 user IP blocked.

                                <span class="time">5 hrs</span>

                            </a>

                        </li>

                        <li class="external">

                            <a href="#">See all notifications <i class="m-icon-swapright"></i></a>

                        </li>

                    </ul>

                </li>

                <!-- END NOTIFICATION DROPDOWN -->

                <!-- BEGIN INBOX DROPDOWN -->

                <li class="dropdown" id="header_inbox_bar">

                    <a href="#" class="dropdown-toggle" data-toggle="dropdown">

                        <i class="icon-envelope"></i>

                        <span class="badge">5</span>

                    </a>

                    <ul class="dropdown-menu extended inbox">

                        <li>

                            <p>You have 12 new messages</p>

                        </li>

                        <li>

                            <a href="inbox.html?a=view">

                                <span class="photo"><img src="media/image/avatar2.jpg" alt=""/></span>

                                <span class="subject">

								<span class="from">Lisa Wong</span>

								<span class="time">Just Now</span>

								</span>

                                <span class="message">

								Vivamus sed auctor nibh congue nibh. auctor nibh

								auctor nibh...

								</span>

                            </a>

                        </li>

                        <li>

                            <a href="inbox.html?a=view">

                                <span class="photo"><img src="media/image/avatar3.jpg" alt=""/></span>

                                <span class="subject">

								<span class="from">Richard Doe</span>

								<span class="time">16 mins</span>

								</span>

                                <span class="message">

								Vivamus sed congue nibh auctor nibh congue nibh. auctor nibh

								auctor nibh...

								</span>

                            </a>

                        </li>

                        <li>

                            <a href="inbox.html?a=view">

                                <span class="photo"><img src="media/image/avatar1.jpg" alt=""/></span>

                                <span class="subject">

								<span class="from">Bob Nilson</span>

								<span class="time">2 hrs</span>

								</span>

                                <span class="message">

								Vivamus sed nibh auctor nibh congue nibh. auctor nibh

								auctor nibh...

								</span>

                            </a>

                        </li>

                        <li class="external">

                            <a href="inbox.html">See all messages <i class="m-icon-swapright"></i></a>

                        </li>

                    </ul>

                </li>

                <!-- END INBOX DROPDOWN -->

                <!-- BEGIN TODO DROPDOWN -->

                <li class="dropdown" id="header_task_bar">

                    <a href="#" class="dropdown-toggle" data-toggle="dropdown">

                        <i class="icon-tasks"></i>

                        <span class="badge">5</span>

                    </a>

                    <ul class="dropdown-menu extended tasks">

                        <li>

                            <p>You have 12 pending tasks</p>

                        </li>

                        <li>

                            <a href="#">

								<span class="task">

								<span class="desc">New release v1.2</span>

								<span class="percent">30%</span>

								</span>

                                <span class="progress progress-success ">

								<span style="width: 30%;" class="bar"></span>

								</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

								<span class="task">

								<span class="desc">Application deployment</span>

								<span class="percent">65%</span>

								</span>

                                <span class="progress progress-danger progress-striped active">

								<span style="width: 65%;" class="bar"></span>

								</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

								<span class="task">

								<span class="desc">Mobile app release</span>

								<span class="percent">98%</span>

								</span>

                                <span class="progress progress-success">

								<span style="width: 98%;" class="bar"></span>

								</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

								<span class="task">

								<span class="desc">Database migration</span>

								<span class="percent">10%</span>

								</span>

                                <span class="progress progress-warning progress-striped">

								<span style="width: 10%;" class="bar"></span>

								</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

								<span class="task">

								<span class="desc">Web server upgrade</span>

								<span class="percent">58%</span>

								</span>

                                <span class="progress progress-info">

								<span style="width: 58%;" class="bar"></span>

								</span>

                            </a>

                        </li>

                        <li>

                            <a href="#">

								<span class="task">

								<span class="desc">Mobile development</span>

								<span class="percent">85%</span>

								</span>

                                <span class="progress progress-success">

								<span style="width: 85%;" class="bar"></span>

								</span>

                            </a>

                        </li>

                        <li class="external">

                            <a href="#">See all tasks <i class="m-icon-swapright"></i></a>

                        </li>

                    </ul>

                </li>

                <!-- END TODO DROPDOWN -->

                <!-- BEGIN USER LOGIN DROPDOWN -->

                <li class="dropdown user">

                    <a href="#" class="dropdown-toggle" data-toggle="dropdown">

                        <img alt="" src="media/image/avatar1_small.jpg"/>

                        <span class="username">Bob Nilson</span>

                        <i class="icon-angle-down"></i>

                    </a>

                    <ul class="dropdown-menu">

                        <li><a href="extra_profile.html"><i class="icon-user"></i> My Profile</a></li>

                        <li><a href="page_calendar.html"><i class="icon-calendar"></i> My Calendar</a></li>

                        <li><a href="inbox.html"><i class="icon-envelope"></i> My Inbox(3)</a></li>

                        <li><a href="#"><i class="icon-tasks"></i> My Tasks</a></li>

                        <li class="divider"></li>

                        <li><a href="extra_lock.html"><i class="icon-lock"></i> Lock Screen</a></li>

                        <li><a href="login.html"><i class="icon-key"></i> Log Out</a></li>

                    </ul>

                </li>

                <!-- END USER LOGIN DROPDOWN -->

            </ul>

            <!-- END TOP NAVIGATION MENU -->

        </div>

    </div>

    <!-- END TOP NAVIGATION BAR -->

</div>

<!-- END HEADER -->

<!-- BEGIN CONTAINER -->

<div class="page-container row-fluid">

    <!-- BEGIN SIDEBAR -->

    <div class="page-sidebar nav-collapse collapse">

        <!-- BEGIN SIDEBAR MENU -->

        <ul class="page-sidebar-menu">

            <li>

                <!-- BEGIN SIDEBAR TOGGLER BUTTON -->

                <div class="sidebar-toggler hidden-phone"></div>

                <!-- BEGIN SIDEBAR TOGGLER BUTTON -->

            </li>

            <li>

                <!-- BEGIN RESPONSIVE QUICK SEARCH FORM -->

                <form class="sidebar-search">

                    <div class="input-box">

                        <a href="javascript:;" class="remove"></a>

                        <input type="text" placeholder="Search..."/>

                        <input type="button" class="submit" value=" "/>

                    </div>

                </form>

                <!-- END RESPONSIVE QUICK SEARCH FORM -->

            </li>

            <li class="start ">

                <a href="index.html">

                    <i class="icon-home"></i>

                    <span class="title">Dashboard</span>

                </a>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-cogs"></i>

                    <span class="title">Layouts</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="layout_horizontal_sidebar_menu.html">

                            Horzontal & Sidebar Menu</a>

                    </li>

                    <li>

                        <a href="layout_horizontal_menu1.html">

                            Horzontal Menu 1</a>

                    </li>

                    <li>

                        <a href="layout_horizontal_menu2.html">

                            Horzontal Menu 2</a>

                    </li>

                    <li>

                        <a href="layout_promo.html">

                            Promo Page</a>

                    </li>

                    <li>

                        <a href="layout_email.html">

                            Email Templates</a>

                    </li>

                    <li>

                        <a href="layout_ajax.html">

                            Content Loading via Ajax</a>

                    </li>

                    <li>

                        <a href="layout_sidebar_closed.html">

                            Sidebar Closed Page</a>

                    </li>

                    <li>

                        <a href="layout_blank_page.html">

                            Blank Page</a>

                    </li>

                    <li>

                        <a href="layout_boxed_page.html">

                            Boxed Page</a>

                    </li>

                    <li>

                        <a href="layout_boxed_not_responsive.html">

                            Non-Responsive Boxed Layout</a>

                    </li>

                </ul>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-bookmark-empty"></i>

                    <span class="title">UI Features</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="ui_general.html">

                            General</a>

                    </li>

                    <li>

                        <a href="ui_buttons.html">

                            Buttons</a>

                    </li>

                    <li>

                        <a href="ui_modals.html">

                            Enhanced Modals</a>

                    </li>

                    <li>

                        <a href="ui_tabs_accordions.html">

                            Tabs & Accordions</a>

                    </li>

                    <li>

                        <a href="ui_jqueryui.html">

                            jQuery UI Components</a>

                    </li>

                    <li>

                        <a href="ui_sliders.html">

                            Sliders</a>

                    </li>

                    <li>

                        <a href="ui_tiles.html">

                            Tiles</a>

                    </li>

                    <li>

                        <a href="ui_typography.html">

                            Typography</a>

                    </li>

                    <li>

                        <a href="ui_tree.html">

                            Tree View</a>

                    </li>

                    <li>

                        <a href="ui_nestable.html">

                            Nestable List</a>

                    </li>

                </ul>

            </li>

            <li class="active ">

                <a href="javascript:;">

                    <i class="icon-table"></i>

                    <span class="title">Form Stuff</span>

                    <span class="selected"></span>

                    <span class="arrow open"></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="form_layout.html">

                            Form Layouts</a>

                    </li>

                    <li>

                        <a href="form_samples.html">

                            Advance Form Samples</a>

                    </li>

                    <li>

                        <a href="form_component.html">

                            Form Components</a>

                    </li>

                    <li class="active">

                        <a href="form_wizard.html">

                            Form Wizard</a>

                    </li>

                    <li>

                        <a href="form_validation.html">

                            Form Validation</a>

                    </li>

                    <li>

                        <a href="form_fileupload.html">

                            Multiple File Upload</a>

                    </li>

                    <li>

                        <a href="form_dropzone.html">

                            Dropzone File Upload</a>

                    </li>

                </ul>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-briefcase"></i>

                    <span class="title">Pages</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="page_timeline.html">

                            <i class="icon-time"></i>

                            Timeline</a>

                    </li>

                    <li>

                        <a href="page_coming_soon.html">

                            <i class="icon-cogs"></i>

                            Coming Soon</a>

                    </li>

                    <li>

                        <a href="page_blog.html">

                            <i class="icon-comments"></i>

                            Blog</a>

                    </li>

                    <li>

                        <a href="page_blog_item.html">

                            <i class="icon-font"></i>

                            Blog Post</a>

                    </li>

                    <li>

                        <a href="page_news.html">

                            <i class="icon-coffee"></i>

                            News</a>

                    </li>

                    <li>

                        <a href="page_news_item.html">

                            <i class="icon-bell"></i>

                            News View</a>

                    </li>

                    <li>

                        <a href="page_about.html">

                            <i class="icon-group"></i>

                            About Us</a>

                    </li>

                    <li>

                        <a href="page_contact.html">

                            <i class="icon-envelope-alt"></i>

                            Contact Us</a>

                    </li>

                    <li>

                        <a href="page_calendar.html">

                            <i class="icon-calendar"></i>

                            Calendar</a>

                    </li>

                </ul>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-gift"></i>

                    <span class="title">Extra</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="extra_profile.html">

                            User Profile</a>

                    </li>

                    <li>

                        <a href="extra_lock.html">

                            Lock Screen</a>

                    </li>

                    <li>

                        <a href="extra_faq.html">

                            FAQ</a>

                    </li>

                    <li>

                        <a href="inbox.html">

                            Inbox</a>

                    </li>

                    <li>

                        <a href="extra_search.html">

                            Search Results</a>

                    </li>

                    <li>

                        <a href="extra_invoice.html">

                            Invoice</a>

                    </li>

                    <li>

                        <a href="extra_pricing_table.html">

                            Pricing Tables</a>

                    </li>

                    <li>

                        <a href="extra_image_manager.html">

                            Image Manager</a>

                    </li>

                    <li>

                        <a href="extra_404_option1.html">

                            404 Page Option 1</a>

                    </li>

                    <li>

                        <a href="extra_404_option2.html">

                            404 Page Option 2</a>

                    </li>

                    <li>

                        <a href="extra_404_option3.html">

                            404 Page Option 3</a>

                    </li>

                    <li>

                        <a href="extra_500_option1.html">

                            500 Page Option 1</a>

                    </li>

                    <li>

                        <a href="extra_500_option2.html">

                            500 Page Option 2</a>

                    </li>

                </ul>

            </li>

            <li>

                <a class="active" href="javascript:;">

                    <i class="icon-sitemap"></i>

                    <span class="title">3 Level Menu</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="javascript:;">

                            Item 1

                            <span class="arrow"></span>

                        </a>

                        <ul class="sub-menu">

                            <li><a href="#">Sample Link 1</a></li>

                            <li><a href="#">Sample Link 2</a></li>

                            <li><a href="#">Sample Link 3</a></li>

                        </ul>

                    </li>

                    <li>

                        <a href="javascript:;">

                            Item 1

                            <span class="arrow"></span>

                        </a>

                        <ul class="sub-menu">

                            <li><a href="#">Sample Link 1</a></li>

                            <li><a href="#">Sample Link 1</a></li>

                            <li><a href="#">Sample Link 1</a></li>

                        </ul>

                    </li>

                    <li>

                        <a href="#">

                            Item 3

                        </a>

                    </li>

                </ul>

            </li>

            <li>

                <a href="javascript:;">

                    <i class="icon-folder-open"></i>

                    <span class="title">4 Level Menu</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="javascript:;">

                            <i class="icon-cogs"></i>

                            Item 1

                            <span class="arrow"></span>

                        </a>

                        <ul class="sub-menu">

                            <li>

                                <a href="javascript:;">

                                    <i class="icon-user"></i>

                                    Sample Link 1

                                    <span class="arrow"></span>

                                </a>

                                <ul class="sub-menu">

                                    <li><a href="#"><i class="icon-remove"></i> Sample Link 1</a></li>

                                    <li><a href="#"><i class="icon-pencil"></i> Sample Link 1</a></li>

                                    <li><a href="#"><i class="icon-edit"></i> Sample Link 1</a></li>

                                </ul>

                            </li>

                            <li><a href="#"><i class="icon-user"></i> Sample Link 1</a></li>

                            <li><a href="#"><i class="icon-external-link"></i> Sample Link 2</a></li>

                            <li><a href="#"><i class="icon-bell"></i> Sample Link 3</a></li>

                        </ul>

                    </li>

                    <li>

                        <a href="javascript:;">

                            <i class="icon-globe"></i>

                            Item 2

                            <span class="arrow"></span>

                        </a>

                        <ul class="sub-menu">

                            <li><a href="#"><i class="icon-user"></i> Sample Link 1</a></li>

                            <li><a href="#"><i class="icon-external-link"></i> Sample Link 1</a></li>

                            <li><a href="#"><i class="icon-bell"></i> Sample Link 1</a></li>

                        </ul>

                    </li>

                    <li>

                        <a href="#">

                            <i class="icon-folder-open"></i>

                            Item 3

                        </a>

                    </li>

                </ul>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-user"></i>

                    <span class="title">Login Options</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="login.html">

                            Login Form 1</a>

                    </li>

                    <li>

                        <a href="login_soft.html">

                            Login Form 2</a>

                    </li>

                </ul>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-th"></i>

                    <span class="title">Data Tables</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="table_basic.html">

                            Basic Tables</a>

                    </li>

                    <li>

                        <a href="table_responsive.html">

                            Responsive Tables</a>

                    </li>

                    <li>

                        <a href="table_managed.html">

                            Managed Tables</a>

                    </li>

                    <li>

                        <a href="table_editable.html">

                            Editable Tables</a>

                    </li>

                    <li>

                        <a href="table_advanced.html">

                            Advanced Tables</a>

                    </li>

                </ul>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-file-text"></i>

                    <span class="title">Portlets</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="portlet_general.html">

                            General Portlets</a>

                    </li>

                    <li>

                        <a href="portlet_draggable.html">

                            Draggable Portlets</a>

                    </li>

                </ul>

            </li>

            <li class="">

                <a href="javascript:;">

                    <i class="icon-map-marker"></i>

                    <span class="title">Maps</span>

                    <span class="arrow "></span>

                </a>

                <ul class="sub-menu">

                    <li>

                        <a href="maps_google.html">

                            Google Maps</a>

                    </li>

                    <li>

                        <a href="maps_vector.html">

                            Vector Maps</a>

                    </li>

                </ul>

            </li>

            <li class="last ">

                <a href="charts.html">

                    <i class="icon-bar-chart"></i>

                    <span class="title">Visual Charts</span>

                </a>

            </li>

        </ul>

        <!-- END SIDEBAR MENU -->

    </div>

    <!-- END SIDEBAR -->

    <!-- BEGIN PAGE -->

    <div class="page-content">

        <!-- BEGIN SAMPLE PORTLET CONFIGURATION MODAL FORM-->

        <div id="portlet-config" class="modal hide">

            <div class="modal-header">

                <button data-dismiss="modal" class="close" type="button"></button>

                <h3>portlet Settings</h3>

            </div>

            <div class="modal-body">

                <p>Here will be a configuration form</p>

            </div>

        </div>

        <!-- END SAMPLE PORTLET CONFIGURATION MODAL FORM-->

        <!-- BEGIN PAGE CONTAINER-->

        <div class="container-fluid">

            <!-- BEGIN PAGE HEADER-->

            <div class="row-fluid">

                <div class="span12">

                    <!-- BEGIN STYLE CUSTOMIZER -->

                    <div class="color-panel hidden-phone">

                        <div class="color-mode-icons icon-color"></div>

                        <div class="color-mode-icons icon-color-close"></div>

                        <div class="color-mode">

                            <p>THEME COLOR</p>

                            <ul class="inline">

                                <li class="color-black current color-default" data-style="default"></li>

                                <li class="color-blue" data-style="blue"></li>

                                <li class="color-brown" data-style="brown"></li>

                                <li class="color-purple" data-style="purple"></li>

                                <li class="color-grey" data-style="grey"></li>

                                <li class="color-white color-light" data-style="light"></li>

                            </ul>

                            <label>

                                <span>Layout</span>

                                <select class="layout-option m-wrap small">

                                    <option value="fluid" selected>Fluid</option>

                                    <option value="boxed">Boxed</option>

                                </select>

                            </label>

                            <label>

                                <span>Header</span>

                                <select class="header-option m-wrap small">

                                    <option value="fixed" selected>Fixed</option>

                                    <option value="default">Default</option>

                                </select>

                            </label>

                            <label>

                                <span>Sidebar</span>

                                <select class="sidebar-option m-wrap small">

                                    <option value="fixed">Fixed</option>

                                    <option value="default" selected>Default</option>

                                </select>

                            </label>

                            <label>

                                <span>Footer</span>

                                <select class="footer-option m-wrap small">

                                    <option value="fixed">Fixed</option>

                                    <option value="default" selected>Default</option>

                                </select>

                            </label>

                        </div>

                    </div>

                    <!-- END BEGIN STYLE CUSTOMIZER -->

                    <h3 class="page-title">

                        Form Wizard

                        <small>form wizard sample</small>

                    </h3>

                    <ul class="breadcrumb">

                        <li>

                            <i class="icon-home"></i>

                            <a href="index.html">Home</a>

                            <span class="icon-angle-right"></span>

                        </li>

                        <li>

                            <a href="#">Form Stuff</a>

                            <span class="icon-angle-right"></span>

                        </li>

                        <li><a href="#">Form Wizard</a></li>

                    </ul>

                </div>

            </div>

            <!-- END PAGE HEADER-->

            <!-- BEGIN PAGE CONTENT-->

            <div class="row-fluid">

                <div class="span12">

                    <div class="portlet box blue" id="form_wizard_1">

                        <div class="portlet-title">

                            <div class="caption">

                                <i class="icon-reorder"></i> Form Wizard - <span class="step-title">Step 1 of 4</span>

                            </div>

                            <div class="tools hidden-phone">

                                <a href="javascript:;" class="collapse"></a>

                                <a href="#portlet-config" data-toggle="modal" class="config"></a>

                                <a href="javascript:;" class="reload"></a>

                                <a href="javascript:;" class="remove"></a>

                            </div>

                        </div>

                        <div class="portlet-body form">

                            <form action="#" class="form-horizontal" id="submit_form">

                                <div class="form-wizard">

                                    <div class="navbar steps">

                                        <div class="navbar-inner">

                                            <ul class="row-fluid">

                                                <li class="span3">

                                                    <a href="#tab1" data-toggle="tab" class="step active">

                                                        <span class="number">1</span>

                                                        <span class="desc"><i class="icon-ok"></i> Account Setup</span>

                                                    </a>

                                                </li>

                                                <li class="span3">

                                                    <a href="#tab2" data-toggle="tab" class="step">

                                                        <span class="number">2</span>

                                                        <span class="desc"><i class="icon-ok"></i> Profile Setup</span>

                                                    </a>

                                                </li>

                                                <li class="span3">

                                                    <a href="#tab3" data-toggle="tab" class="step">

                                                        <span class="number">3</span>

                                                        <span class="desc"><i class="icon-ok"></i> Billing Setup</span>

                                                    </a>

                                                </li>

                                                <li class="span3">

                                                    <a href="#tab4" data-toggle="tab" class="step">

                                                        <span class="number">4</span>

                                                        <span class="desc"><i class="icon-ok"></i> Confirm</span>

                                                    </a>

                                                </li>

                                            </ul>

                                        </div>

                                    </div>

                                    <div id="bar" class="progress progress-success progress-striped">

                                        <div class="bar"></div>

                                    </div>

                                    <div class="tab-content">

                                        <div class="alert alert-error hide">

                                            <button class="close" data-dismiss="alert"></button>

                                            You have some form errors. Please check below.

                                        </div>

                                        <div class="alert alert-success hide">

                                            <button class="close" data-dismiss="alert"></button>

                                            Your form validation is successful!

                                        </div>

                                        <div class="tab-pane active" id="tab1">

                                            <h3 class="block">Provide your account details</h3>

                                            <div class="control-group">

                                                <label class="control-label">Username<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="username"/>

                                                    <span class="help-inline">Provide your username</span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Password<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="password" class="span6 m-wrap" name="password"
                                                           id="submit_form_password"/>

                                                    <span class="help-inline">Provide your username</span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Confirm Password<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="password" class="span6 m-wrap" name="rpassword"/>

                                                    <span class="help-inline">Confirm your password</span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Email<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="email"/>

                                                    <span class="help-inline">Provide your email address</span>

                                                </div>

                                            </div>

                                        </div>

                                        <div class="tab-pane" id="tab2">

                                            <h3 class="block">Provide your profile details</h3>

                                            <div class="control-group">

                                                <label class="control-label">Fullname<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="fullname"/>

                                                    <span class="help-inline">Provide your fullname</span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Phone Number<span class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="phone"/>

                                                    <span class="help-inline">Provide your phone number</span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Gender<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <label class="radio">

                                                        <input type="radio" name="gender" value="M" data-title="Male"/>

                                                        Male

                                                    </label>

                                                    <div class="clearfix"></div>

                                                    <label class="radio">

                                                        <input type="radio" name="gender" value="F"
                                                               data-title="Female"/>

                                                        Female

                                                    </label>

                                                    <div id="form_gender_error"></div>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Address<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="address"/>

                                                    <span class="help-inline">Provide your street address</span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">City/Town<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="city"/>

                                                    <span class="help-inline">Provide your city or town</span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Country</label>

                                                <div class="controls">

                                                    <select name="country" id="country_list" class="span6">

                                                        <option value="">Select</option>

                                                        <option value="AF">Afghanistan</option>

                                                        <option value="AL">Albania</option>

                                                        <option value="DZ">Algeria</option>

                                                        <option value="AS">American Samoa</option>

                                                        <option value="AD">Andorra</option>

                                                        <option value="AO">Angola</option>

                                                        <option value="AI">Anguilla</option>

                                                        <option value="AQ">Antarctica</option>

                                                        <option value="AR">Argentina</option>

                                                        <option value="AM">Armenia</option>

                                                        <option value="AW">Aruba</option>

                                                        <option value="AU">Australia</option>

                                                        <option value="AT">Austria</option>

                                                        <option value="AZ">Azerbaijan</option>

                                                        <option value="BS">Bahamas</option>

                                                        <option value="BH">Bahrain</option>

                                                        <option value="BD">Bangladesh</option>

                                                        <option value="BB">Barbados</option>

                                                        <option value="BY">Belarus</option>

                                                        <option value="BE">Belgium</option>

                                                        <option value="BZ">Belize</option>

                                                        <option value="BJ">Benin</option>

                                                        <option value="BM">Bermuda</option>

                                                        <option value="BT">Bhutan</option>

                                                        <option value="BO">Bolivia</option>

                                                        <option value="BA">Bosnia and Herzegowina</option>

                                                        <option value="BW">Botswana</option>

                                                        <option value="BV">Bouvet Island</option>

                                                        <option value="BR">Brazil</option>

                                                        <option value="IO">British Indian Ocean Territory</option>

                                                        <option value="BN">Brunei Darussalam</option>

                                                        <option value="BG">Bulgaria</option>

                                                        <option value="BF">Burkina Faso</option>

                                                        <option value="BI">Burundi</option>

                                                        <option value="KH">Cambodia</option>

                                                        <option value="CM">Cameroon</option>

                                                        <option value="CA">Canada</option>

                                                        <option value="CV">Cape Verde</option>

                                                        <option value="KY">Cayman Islands</option>

                                                        <option value="CF">Central African Republic</option>

                                                        <option value="TD">Chad</option>

                                                        <option value="CL">Chile</option>

                                                        <option value="CN">China</option>

                                                        <option value="CX">Christmas Island</option>

                                                        <option value="CC">Cocos (Keeling) Islands</option>

                                                        <option value="CO">Colombia</option>

                                                        <option value="KM">Comoros</option>

                                                        <option value="CG">Congo</option>

                                                        <option value="CD">Congo, the Democratic Republic of the
                                                        </option>

                                                        <option value="CK">Cook Islands</option>

                                                        <option value="CR">Costa Rica</option>

                                                        <option value="CI">Cote d'Ivoire</option>

                                                        <option value="HR">Croatia (Hrvatska)</option>

                                                        <option value="CU">Cuba</option>

                                                        <option value="CY">Cyprus</option>

                                                        <option value="CZ">Czech Republic</option>

                                                        <option value="DK">Denmark</option>

                                                        <option value="DJ">Djibouti</option>

                                                        <option value="DM">Dominica</option>

                                                        <option value="DO">Dominican Republic</option>

                                                        <option value="EC">Ecuador</option>

                                                        <option value="EG">Egypt</option>

                                                        <option value="SV">El Salvador</option>

                                                        <option value="GQ">Equatorial Guinea</option>

                                                        <option value="ER">Eritrea</option>

                                                        <option value="EE">Estonia</option>

                                                        <option value="ET">Ethiopia</option>

                                                        <option value="FK">Falkland Islands (Malvinas)</option>

                                                        <option value="FO">Faroe Islands</option>

                                                        <option value="FJ">Fiji</option>

                                                        <option value="FI">Finland</option>

                                                        <option value="FR">France</option>

                                                        <option value="GF">French Guiana</option>

                                                        <option value="PF">French Polynesia</option>

                                                        <option value="TF">French Southern Territories</option>

                                                        <option value="GA">Gabon</option>

                                                        <option value="GM">Gambia</option>

                                                        <option value="GE">Georgia</option>

                                                        <option value="DE">Germany</option>

                                                        <option value="GH">Ghana</option>

                                                        <option value="GI">Gibraltar</option>

                                                        <option value="GR">Greece</option>

                                                        <option value="GL">Greenland</option>

                                                        <option value="GD">Grenada</option>

                                                        <option value="GP">Guadeloupe</option>

                                                        <option value="GU">Guam</option>

                                                        <option value="GT">Guatemala</option>

                                                        <option value="GN">Guinea</option>

                                                        <option value="GW">Guinea-Bissau</option>

                                                        <option value="GY">Guyana</option>

                                                        <option value="HT">Haiti</option>

                                                        <option value="HM">Heard and Mc Donald Islands</option>

                                                        <option value="VA">Holy See (Vatican City State)</option>

                                                        <option value="HN">Honduras</option>

                                                        <option value="HK">Hong Kong</option>

                                                        <option value="HU">Hungary</option>

                                                        <option value="IS">Iceland</option>

                                                        <option value="IN">India</option>

                                                        <option value="ID">Indonesia</option>

                                                        <option value="IR">Iran (Islamic Republic of)</option>

                                                        <option value="IQ">Iraq</option>

                                                        <option value="IE">Ireland</option>

                                                        <option value="IL">Israel</option>

                                                        <option value="IT">Italy</option>

                                                        <option value="JM">Jamaica</option>

                                                        <option value="JP">Japan</option>

                                                        <option value="JO">Jordan</option>

                                                        <option value="KZ">Kazakhstan</option>

                                                        <option value="KE">Kenya</option>

                                                        <option value="KI">Kiribati</option>

                                                        <option value="KP">Korea, Democratic People's Republic of
                                                        </option>

                                                        <option value="KR">Korea, Republic of</option>

                                                        <option value="KW">Kuwait</option>

                                                        <option value="KG">Kyrgyzstan</option>

                                                        <option value="LA">Lao People's Democratic Republic</option>

                                                        <option value="LV">Latvia</option>

                                                        <option value="LB">Lebanon</option>

                                                        <option value="LS">Lesotho</option>

                                                        <option value="LR">Liberia</option>

                                                        <option value="LY">Libyan Arab Jamahiriya</option>

                                                        <option value="LI">Liechtenstein</option>

                                                        <option value="LT">Lithuania</option>

                                                        <option value="LU">Luxembourg</option>

                                                        <option value="MO">Macau</option>

                                                        <option value="MK">Macedonia, The Former Yugoslav Republic of
                                                        </option>

                                                        <option value="MG">Madagascar</option>

                                                        <option value="MW">Malawi</option>

                                                        <option value="MY">Malaysia</option>

                                                        <option value="MV">Maldives</option>

                                                        <option value="ML">Mali</option>

                                                        <option value="MT">Malta</option>

                                                        <option value="MH">Marshall Islands</option>

                                                        <option value="MQ">Martinique</option>

                                                        <option value="MR">Mauritania</option>

                                                        <option value="MU">Mauritius</option>

                                                        <option value="YT">Mayotte</option>

                                                        <option value="MX">Mexico</option>

                                                        <option value="FM">Micronesia, Federated States of</option>

                                                        <option value="MD">Moldova, Republic of</option>

                                                        <option value="MC">Monaco</option>

                                                        <option value="MN">Mongolia</option>

                                                        <option value="MS">Montserrat</option>

                                                        <option value="MA">Morocco</option>

                                                        <option value="MZ">Mozambique</option>

                                                        <option value="MM">Myanmar</option>

                                                        <option value="NA">Namibia</option>

                                                        <option value="NR">Nauru</option>

                                                        <option value="NP">Nepal</option>

                                                        <option value="NL">Netherlands</option>

                                                        <option value="AN">Netherlands Antilles</option>

                                                        <option value="NC">New Caledonia</option>

                                                        <option value="NZ">New Zealand</option>

                                                        <option value="NI">Nicaragua</option>

                                                        <option value="NE">Niger</option>

                                                        <option value="NG">Nigeria</option>

                                                        <option value="NU">Niue</option>

                                                        <option value="NF">Norfolk Island</option>

                                                        <option value="MP">Northern Mariana Islands</option>

                                                        <option value="NO">Norway</option>

                                                        <option value="OM">Oman</option>

                                                        <option value="PK">Pakistan</option>

                                                        <option value="PW">Palau</option>

                                                        <option value="PA">Panama</option>

                                                        <option value="PG">Papua New Guinea</option>

                                                        <option value="PY">Paraguay</option>

                                                        <option value="PE">Peru</option>

                                                        <option value="PH">Philippines</option>

                                                        <option value="PN">Pitcairn</option>

                                                        <option value="PL">Poland</option>

                                                        <option value="PT">Portugal</option>

                                                        <option value="PR">Puerto Rico</option>

                                                        <option value="QA">Qatar</option>

                                                        <option value="RE">Reunion</option>

                                                        <option value="RO">Romania</option>

                                                        <option value="RU">Russian Federation</option>

                                                        <option value="RW">Rwanda</option>

                                                        <option value="KN">Saint Kitts and Nevis</option>

                                                        <option value="LC">Saint LUCIA</option>

                                                        <option value="VC">Saint Vincent and the Grenadines</option>

                                                        <option value="WS">Samoa</option>

                                                        <option value="SM">San Marino</option>

                                                        <option value="ST">Sao Tome and Principe</option>

                                                        <option value="SA">Saudi Arabia</option>

                                                        <option value="SN">Senegal</option>

                                                        <option value="SC">Seychelles</option>

                                                        <option value="SL">Sierra Leone</option>

                                                        <option value="SG">Singapore</option>

                                                        <option value="SK">Slovakia (Slovak Republic)</option>

                                                        <option value="SI">Slovenia</option>

                                                        <option value="SB">Solomon Islands</option>

                                                        <option value="SO">Somalia</option>

                                                        <option value="ZA">South Africa</option>

                                                        <option value="GS">South Georgia and the South Sandwich
                                                            Islands
                                                        </option>

                                                        <option value="ES">Spain</option>

                                                        <option value="LK">Sri Lanka</option>

                                                        <option value="SH">St. Helena</option>

                                                        <option value="PM">St. Pierre and Miquelon</option>

                                                        <option value="SD">Sudan</option>

                                                        <option value="SR">Suriname</option>

                                                        <option value="SJ">Svalbard and Jan Mayen Islands</option>

                                                        <option value="SZ">Swaziland</option>

                                                        <option value="SE">Sweden</option>

                                                        <option value="CH">Switzerland</option>

                                                        <option value="SY">Syrian Arab Republic</option>

                                                        <option value="TW">Taiwan, Province of China</option>

                                                        <option value="TJ">Tajikistan</option>

                                                        <option value="TZ">Tanzania, United Republic of</option>

                                                        <option value="TH">Thailand</option>

                                                        <option value="TG">Togo</option>

                                                        <option value="TK">Tokelau</option>

                                                        <option value="TO">Tonga</option>

                                                        <option value="TT">Trinidad and Tobago</option>

                                                        <option value="TN">Tunisia</option>

                                                        <option value="TR">Turkey</option>

                                                        <option value="TM">Turkmenistan</option>

                                                        <option value="TC">Turks and Caicos Islands</option>

                                                        <option value="TV">Tuvalu</option>

                                                        <option value="UG">Uganda</option>

                                                        <option value="UA">Ukraine</option>

                                                        <option value="AE">United Arab Emirates</option>

                                                        <option value="GB">United Kingdom</option>

                                                        <option value="US">United States</option>

                                                        <option value="UM">United States Minor Outlying Islands</option>

                                                        <option value="UY">Uruguay</option>

                                                        <option value="UZ">Uzbekistan</option>

                                                        <option value="VU">Vanuatu</option>

                                                        <option value="VE">Venezuela</option>

                                                        <option value="VN">Viet Nam</option>

                                                        <option value="VG">Virgin Islands (British)</option>

                                                        <option value="VI">Virgin Islands (U.S.)</option>

                                                        <option value="WF">Wallis and Futuna Islands</option>

                                                        <option value="EH">Western Sahara</option>

                                                        <option value="YE">Yemen</option>

                                                        <option value="ZM">Zambia</option>

                                                        <option value="ZW">Zimbabwe</option>

                                                    </select>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Remarks</label>

                                                <div class="controls">

                                                    <textarea class="span6 m-wrap" rows="3" name="remarks"></textarea>

                                                </div>

                                            </div>

                                        </div>

                                        <div class="tab-pane" id="tab3">

                                            <h3 class="block">Provide your billing and credit card details</h3>

                                            <div class="control-group">

                                                <label class="control-label">Card Holder Name<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="card_name"/>

                                                    <span class="help-inline"></span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Card Number<span class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" class="span6 m-wrap" name="card_number"/>

                                                    <span class="help-inline"></span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">CVC<span class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" placeholder="" class="m-wrap" name="card_cvc"/>

                                                    <span class="help-inline"></span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Expiration(MM/YYYY)<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <input type="text" placeholder="MM" maxlength="2"
                                                           class="m-wrap small" name="card_expiry_mm"/>

                                                    <input type="text" placeholder="YYYY" maxlength="4"
                                                           class="m-wrap small" name="card_expiry_yyyy"/>

                                                    <span class="help-inline"></span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Payment Options<span
                                                        class="required">*</span></label>

                                                <div class="controls">

                                                    <label class="checkbox line">

                                                        <input type="checkbox" name="payment[]" value="1"
                                                               data-title="Auto-Pay with this Credit Card."/> Auto-Pay
                                                        with this Credit Card

                                                    </label>

                                                    <label class="checkbox line">

                                                        <input type="checkbox" name="payment[]" value="2"
                                                               data-title="Email me monthly billing."/> Email me monthly
                                                        billing

                                                    </label>

                                                    <div id="form_payment_error"></div>

                                                </div>

                                            </div>

                                        </div>

                                        <div class="tab-pane" id="tab4">

                                            <h3 class="block">Confirm your account</h3>

                                            <h4 class="form-section">Account</h4>

                                            <div class="control-group">

                                                <label class="control-label">Username:</label>

                                                <div class="controls">

                                                    <span class="text display-value" data-display="username"></span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Email:</label>

                                                <div class="controls">

                                                    <span class="text display-value" data-display="email"></span>

                                                </div>

                                            </div>

                                            <h4 class="form-section">Profile</h4>

                                            <div class="control-group">

                                                <label class="control-label">Fullname:</label>

                                                <div class="controls">

                                                    <span class="text display-value" data-display="fullname"></span>

                                                </div>

                                            </div>

                                            <div class="control-group">

                                                <label class="control-label">Gender:</label>

                                                <div class="controls">

                                                    <span class="text display-value" data-display="gender"></span>

                                                </div>

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